The Modified M-plasty Approach to Mastectomy: Avoiding the Lateral Dog-ear

Autor: Farid Meybodi, MD, FRACS, My Pham, MD, MS, Negin Sedaghat, MD, FRACS, Elisabeth Elder, MD, FRACS, James French, MD, FRACS
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 10, Iss 2, p e4116 (2022)
Druh dokumentu: article
ISSN: 2169-7574
00000000
DOI: 10.1097/GOX.0000000000004116
Popis: Summary:. Postmastectomy “dog-ears” are cosmetically displeasing, can contribute to a poorly fitting bra, and may cause discomfort for patients. They occur most commonly in patients with high body mass index and/or large breasts and can be challenging to manage. To avoid the lateral dog-ear following simple mastectomy, we describe the M-plasty with the addition of a lipodermal flap. We demonstrate that the addition of a lipodermal flap not only flattens the lateral contour of the chest wall but also facilitates a tension-free closure. This helps reduce wound-healing issues in high-risk patients with multiple comorbidities, high body mass index, and large breast size.
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